Labour, the Coalition and the Biopsychosocial Model

In this election year it is good to remember that before the Coalition
came to power seriously ill and
disabled people , found fit for work under the last Government and
denied Employment Support Allowance , were subsequently written off, just left to cope with
greatly reduced benefits on Job Seekers Allowance and little support.
(Source : Not Working . CAB Evidence on the WCA.)

That is because they
had been subjected to the notorious Work Capability Assessment (WCA)
which took little account of variable symptoms, generalized pain,
exhaustion or the underlying seriousness of a person’s condition.

Yet introducing ESA and
the WCA in 2007, Peter Hain, Labour, described them as “A new,
progressive vision for our welfare system .”

As Debbie Jolly points
out, up until then campaigners, protesters, advocates, activists and
Centres for Independent Living (CILs) had managed to achieve :

The Independent
Living Fund (ILF)

Disability Living
Allowance (DLA)

Incapacity Benefit

Access to Work

Direct Payments

The Disability
Discrimination Act

All the above
achievements, the envy of the world, have now been drastically cut
back or replaced.

Labour’s (and now the
Coalition’s) extraordinary counterintuitive reasoning , towards
disability, has its roots, says Jonathan Rutherford in the American
right’s philosophy that the poor are the cause of their own poverty
because they fail to take advantage of the opportunities “available”
to them..

It all began in 1994
the Conservative Government brought in UNUM, the giant American
Medical insurance Company, to advise them on welfare reform, a member
of that group was Mansel Aylward, who in 1999, as Chief Medical
Officer at the DWP, devised the new Personal Capability Assessment
(PCA), contracted out to the American Corporation Atos Origin, where
the ” emphasis was no longer on entitlement, but on what a person
is capable of doing.”

The intellectual basis
behind the PCA was UNUM’s “The Scientific and Conceptual Basis
of Incapacity Benefits “, written by the apparently apologetic
Mansel Aylward, which is based upon the biopsychosocial model of
illness, designed to “liberate” the disabled from the ” medical
model” . According to the biopsychosocial model, under which untold
tens of thousands of people with ME, in particular, have suffered horrible abuse and
even death : ” Disease is the only objective, medically diagnosable
pathology. Sickness is a temporary phenomenon. Illness is a behavior
social phenomenon rather than a health problem. The solution is not
to cure the sick, but a “fundamental transformation in the way
society deals with sickness and disabilities. ”

The transformation is
this : ” Sickness is a social and cultural phenomenon rather
than a health problem. The solution is not to cure the sick, but to
transform the culture of welfare. No one who is ill should have a
straightforward right to receive benefit.”, this extreme agenda
” was adopted by the former banker Labour brought in, David Freud ,
now Lord Freud , Parliamentary Under Secretary of State (Welfare
Reform) .

Pushing the neoliberal
agenda to triumphant heights, ever since, the Coalition has
progressed some of the toughest, and most regressive social policies
since the foundation of the welfare state. Building upon the
“dependency-busting” foundation laid down by New Labour, never
before has there been such a concerted onslaught on disabled/sick people,
in terms of New Labour's distinction, entirely devoid of evidence,
between the “deserving and undeserving poor”.(Roulstone )

A
website, set up by the Treasury to ask members of the public for
suggestions on how public spending can be cut, targeted disabled
people, as UCU report , with comments ranging“ from the
unpleasant – all disabled people claiming DLA and ESA should be
subjected to frequent, unannounced visits from DWP officials -to the
unjust – all disabled people should be denied legal representation
at appeals tribunals -to the bordering on hate crime – all disabled
people should be compulsorily sterilised. “

The consequences of the
Coalition's policies have been terrible, with the disabled bearing
the brunt of cuts. Benefits for disabled people and the poorest ,
this year, will have been cut by £18 billion, a cut of about 20%.
(Duffy 2013)

These savage cuts have
shredded the welfare safety net and left many disabled families in a
struggle for survival, increasingly financially impoverished,
socially isolated, and at risk of declining mental health. One victim
was Mark Wood, who starved to death, following the reduction of his
benefits ; ATOS had found him fit for work, despite mental health
problems.

The long term impact
for Society, of the cuts , as the current crisis in A&E shows, however is going to be costly , as Duffy (2013) points out “Inequality
is expensive. Often governments are forced to spend more to deal with
the consequences of inequality. The UK can expect more riots, social
conflict, stigma and unhappiness.

Who are you going to vote for this year ? Ed Miliband failed to mention the sick and disabled, even once, in last year's conference speech.

Here living on the very edge of society with my wife in crawling screaming pain, for over two decades, with nothing being done to help us, just constant persecution all these years; it is very hard indeed to have faith in any political party.

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